Active NPI
Vasile Rus
- Contractor
- Battle Ground, WA
National Provider Identifier
1114352937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 750333
- Practice address
- 19907 NE 104TH Ave
Battle Ground, WA 98604-6174 - Phone
- (360) 723-0815
- Fax
- (360) 723-0817
- NPI assigned
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 750333 | WA | Primary |
Addresses
Primary practice location
19907 NE 104TH Ave
Battle Ground, WA 98604-6174
Mailing address
19907 NE 104TH Ave
Battle Ground, WA 98604-6174
Phone (360) 723-0815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750333 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1114352937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19907 NE 104TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986046174",
"telephone_number": "360-723-0815",
"fax_number": "360-723-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19907 NE 104TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986046174",
"telephone_number": "360-723-0815",
"fax_number": "360-723-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUS",
"first_name": "VASILE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "750333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.